Mchunu Gugu G, Naidoo Joanne R, Ncama Busisiwe P
School of Nursing and Public Health, University of Kwazulu-Natal, South Africa.
Department of Nursing Sciences, Nelson Mandela University.
Afr Health Sci. 2020 Jun;20(2):658-665. doi: 10.4314/ahs.v20i2.15.
BACKGROUND: Despite significant gains in the HIV epidemic in South Africa, with reduction in mortality and elimination of vertical transmission, national HIV prevalence remains high, with women rather than men continuing to bear higher burden of the disease. Population subgroups, through ignorance, disbelief or recklessness, continue to engage in risky sexual behaviour. A substantial proportion of minibus taxi drivers engage in risky sex, seldom seeing themselves at risk for STIs or HIV/AIDS. These taxi drivers have been linked with so-called taxi queens, with whom they engage in transactional and intergenerational relationships. OBJECTIVES: The study explored condom use and condom negotiation strategies among taxi drivers and taxi queens in Kwa- Zulu-Natal, South Africa. METHODS: Applying explorative qualitative design, we conducted focus group discussion and individual interviews among participants who were purposively recruited in KwaZulu-Natal. RESULT: Qualitative data analysis revealed that condom use and negotiation are sources of conflict for the participants. In addition, the strategies employed by participants to ensure condom usage are not always sustainable and are likely to be problematic due to a variety of complex factors. CONCLUSION: Our study concludes by recommending a nested public health response that takes cognizance of factors that promote sustainable condom use strategies among this population subgroup.
背景:尽管南非在艾滋病防治方面取得了显著进展,死亡率有所下降,母婴传播也已消除,但全国艾滋病病毒感染率仍然很高,女性而非男性继续承担着更高的疾病负担。一些人群亚组由于无知、不信或鲁莽,继续从事危险的性行为。相当一部分小型巴士出租车司机有危险的性行为,很少认为自己有感染性传播感染或艾滋病毒/艾滋病的风险。这些出租车司机与所谓的“出租车女王”有关系,他们与这些人建立交易性和代际关系。 目的:本研究探讨了南非夸祖鲁-纳塔尔省出租车司机和“出租车女王”中避孕套的使用情况及避孕套协商策略。 方法:采用探索性定性设计,我们在夸祖鲁-纳塔尔省有目的地招募的参与者中进行了焦点小组讨论和个人访谈。 结果:定性数据分析显示,避孕套的使用和协商是参与者之间冲突的根源。此外,参与者为确保使用避孕套而采用的策略并不总是可持续的,由于各种复杂因素,这些策略可能会出现问题。 结论:我们的研究最后建议采取一种综合的公共卫生应对措施,该措施要考虑到促进这一人群亚组可持续使用避孕套策略的因素。
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